MercyOne Newton Medical Center
204 N. 4th Ave E, Newton, IA · MercyOne · · NPI 1003296179
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Bone Age X-ray (hand and wrist) CPT 77072 | $170.95 | $263.00 | $98.96 – $263.00 | 111 |
| Bone Density Scan (DEXA) CPT 77080 | $698.00 | $698.00 | $98.96 – $698.00 | 111 |
| Bone filler cerament 10cc HCPCS C1602 | $10,175.74 | $15,654.99 | $369.87 – $569.03 | 29 |
| Bone tendon board add on HCPCS C9356 | $4,850.45 | $7,462.23 | $338.82 – $521.26 | 29 |
| Bone void filler nanoss 10cc HCPCS C9362 | $3,242.75 | $4,988.85 | $125.96 – $193.78 | 29 |
| Boot cast sandal rocker med HCPCS L3265 | $2.19 | $3.37 | $2.19 – $3.37 | 29 |
| Boot heel care softcare one sz HCPCS E0191 | $132.09 | $203.21 | $2.03 – $54.31 | 37 |
| Boot j walker l HCPCS L4386 | $347.24 | $534.21 | $12.44 – $62.18 | 37 |
| Boot mlti podous univ xlg HCPCS L4396 | $165.01 | $253.86 | $13.47 – $67.37 | 37 |
| Boot softgait shrt m HCPCS L4387 | $41.49 | $63.83 | $5.12 – $25.60 | 37 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $81.97 | $126.11 | $12.77 – $63.83 | 37 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $81.03 | $124.66 | $24.93 – $124.66 | 37 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $136.50 | $210.00 | $16.50 – $210.00 | 45 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $211.60 | $211.60 | $60.90 – $184.00 | 95 |
| Brace adj motion lerman type HCPCS L2186 | $316.44 | $486.83 | $316.44 – $486.83 | 29 |
| Brace afo dbl upright cust HCPCS L1990 | $748.46 | $1,151.48 | $748.46 – $1,151.48 | 29 |
| Brace afo lg left 6607 HCPCS L1930 | $129.79 | $199.67 | $20.02 – $100.12 | 37 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,145.78 | $1,762.74 | $1,145.78 – $1,762.74 | 29 |
| Brace afo spiral prefab HCPCS L1951 | $1,746.13 | $2,686.36 | $1,746.13 – $2,686.36 | 29 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $55.82 | $85.87 | $25.32 – $38.95 | 29 |
| Brace ank air stirrup univ HCPCS L4350 | $47.97 | $73.80 | $7.99 – $39.95 | 37 |
| Brace ankle joint dflxn assist HCPCS L2210 | $163.94 | $252.21 | $163.94 – $252.21 | 29 |
| Brace ankle stablizing lg HCPCS L1902 | $33.47 | $51.50 | $33.48 – $51.50 | 29 |
| Brace back epic lo 627 HCPCS L0642 | $140.30 | $215.85 | $43.17 – $215.85 | 37 |
| Brace back epic lso 637 HCPCS L0650 | $186.50 | $286.92 | $57.38 – $286.92 | 37 |
| Brace back epic tslo 456 HCPCS L0457 | $390.58 | $600.89 | $265.72 – $408.80 | 29 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $869.63 | $1,337.90 | $173.58 – $802.74 | 37 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $405.76 | $624.24 | $405.76 – $624.24 | 29 |
| Brace back t-lso custom HCPCS L0486 | $2,913.85 | $4,482.85 | $2,913.85 – $4,482.85 | 29 |
| Brace back vista 464 tlso HCPCS L0648 | $475.16 | $731.02 | $101.01 – $505.04 | 37 |
| Brace cust back lso HCPCS L0631 | $1,821.40 | $2,802.16 | $0.65 – $1.00 | 29 |
| Brace fx hum ovr shldr lg HCPCS L3981 | $103.61 | $159.40 | $103.61 – $159.40 | 29 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $693.03 | $1,066.20 | $45.14 – $69.45 | 29 |
| Brace halo bremer l2830 HCPCS L2830 | $195.59 | $300.91 | $195.59 – $300.91 | 29 |
| Brace kafo dbl upright cust HCPCS L2036 | $2,418.37 | $3,720.57 | $2,418.37 – $3,720.57 | 29 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $272.60 | $419.39 | $83.88 – $419.39 | 37 |
| Brace knee extender plus 22-30in HCPCS L1832 | $1,503.03 | $2,312.35 | $21.89 – $109.46 | 37 |
| Brace knee hing pat open med HCPCS L1820 | $47.55 | $73.15 | $47.55 – $73.15 | 29 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $901.84 | $1,387.44 | $36.54 – $182.69 | 37 |
| Brace knee postop tscope xl HCPCS L1845 | $288.59 | $443.98 | $288.59 – $443.98 | 29 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $176.49 | $271.52 | $38.90 – $59.85 | 29 |
| Brace m arm board HCPCS L3809 | $45.37 | $69.80 | $7.34 – $36.70 | 37 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $128.70 | $198.00 | $27.35 – $198.00 | 45 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $243.55 | $374.69 | $73.22 – $366.09 | 37 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $476.06 | $732.40 | $390.58 – $600.89 | 29 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $432.84 | $665.91 | $0.64 – $3.21 | 37 |
| Brace tlso flex cust HCPCS L0450 | $1,982.56 | $3,050.10 | $1,982.57 – $3,050.10 | 29 |
| Brace wrist classic lft sm HCPCS L3908 | $78.86 | $121.32 | $0.64 – $3.22 | 37 |
| Brachy source i-125 injection HCPCS C2638 | $182.00 | $182.00 | $118.30 – $182.00 | 29 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $115.00 | $115.00 | $26.00 – $73.65 | 108 |
| Brachy source palladium HCPCS C2640 | $288.70 | $288.70 | $48.75 – $75.00 | 29 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $275.00 | $275.00 | $63.19 – $129.60 | 42 |
| Brachy source yttrium-90 HCPCS C2616 | $60,990.00 | $60,990.00 | $32.50 – $35,719.73 | 108 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $11,178.00 | $5,458.00 | $16.80 – $5,458.00 | 111 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $11,161.45 | $3,847.00 | $9.09 – $3,847.00 | 111 |
| Brain MRI (with and without contrast) CPT 70553 | $3,606.85 | $5,549.00 | $330.23 – $5,549.00 | 111 |
| Brain MRI (without contrast) CPT 70551 | $2,297.10 | $3,534.00 | $225.85 – $3,534.00 | 111 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $161.28 | $248.13 | $18.74 – $93.69 | 37 |
| Breastbone (Sternum) X-ray CPT 71120 | $191.10 | $294.00 | $82.37 – $294.00 | 111 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $39,510.50 | $39,510.50 | $224.75 – $39,510.50 | 111 |
| Bronchial challenge CPT 94070 | $570.05 | $877.00 | $353.22 – $877.00 | 111 |
| Brush provox 4-10mm HCPCS L8513 | $27.23 | $41.90 | $27.24 – $41.90 | 29 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $60.40 | $60.40 | $1.22 – $4.80 | 95 |
| Bundled special stain group 1 microorganisms CPT 88312 | $222.30 | $342.00 | $49.33 – $342.00 | 111 |
| Bundled special stain group 2 CPT 88313 | $175.50 | $270.00 | $125.94 – $270.00 | 111 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $741.00 | $741.00 | $1.95 – $3.00 | 29 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $2.80 | $2.80 | $0.56 – $9.09 | 33 |
| Buprenorphine hydrochloride HCPCS J0592 | $55.65 | $55.65 | $12.39 – $55.65 | 95 |
| Bur rotalink 2.15mm HCPCS C1724 | $4,849.42 | $7,460.65 | $148.19 – $227.98 | 29 |
| C1 esterase inhibitor func - sendout CPT 86161 | $44.20 | $68.00 | $11.63 – $68.00 | 45 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $44,159.55 | $44,159.55 | $226.18 – $44,159.55 | 111 |
| Cable cath 22-pin diag HCPCS C1730 | $8,141.09 | $12,524.75 | $35.36 – $54.40 | 29 |
| Cable centrimag pressure HCPCS Q0508 | $123,355.44 | $189,777.60 | $1.38 – $2.13 | 29 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $21,398.90 | $21,398.90 | $22.14 – $14,265.95 | 111 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $46.00 | $46.00 | $29.90 – $46.00 | 29 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | $77,352.35 | $77,352.35 | $50,279.03 – $77,352.35 | 29 |
| Calcium 24 hour urine CPT 82340 | $69.55 | $107.00 | $5.84 – $107.00 | 45 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $1.00 | $1.00 | $0.20 – $1.00 | 30 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $58.05 | $58.05 | $15.00 – $58.05 | 95 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $90.75 | $90.75 | $12.90 – $19.85 | 29 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $83.00 | $83.00 | $53.95 – $83.00 | 29 |
| Calcium ionized CPT 82330 | $105.30 | $162.00 | $13.26 – $162.00 | 45 |
| Calcium total CPT 82310 | $412.00 | $98.00 | $5.00 – $98.00 | 45 |
| Calprotectin fecal CPT 83993 | $160.55 | $247.00 | $19.02 – $247.00 | 45 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | $78.94 | $121.45 | $21.74 – $108.68 | 37 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $36,313.87 | $55,867.50 | $31.40 – $48.30 | 29 |
| Cap nerve 2x15mm HCPCS C1763 | $24,158.39 | $37,166.76 | $35.17 – $54.10 | 29 |
| Cap trach decann 15mm HCPCS C1750 | $3,283.80 | $5,052.00 | $2.20 – $3.39 | 29 |
| Carbamazepine total therapeutic drug level CPT 80156 | $124.15 | $191.00 | $14.12 – $191.00 | 45 |
| Carbon dioxide CPT 82374 | $35.75 | $55.00 | $4.73 – $55.00 | 45 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $303.90 | $303.90 | $2.31 – $37.95 | 95 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $159.55 | $159.55 | $13.43 – $159.55 | 108 |
| Carboxyhemoglobin quantitative CPT 82375 | $118.30 | $182.00 | $11.93 – $182.00 | 45 |
| Carcinoembryonic ag (cea) CPT 82378 | $165.75 | $255.00 | $18.37 – $255.00 | 45 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,159.30 | $3,322.00 | $1,225.46 – $3,322.00 | 111 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $260.65 | $401.00 | $122.02 – $401.00 | 111 |
| Cardiolipin antibody iga CPT 86147 | $151.45 | $233.00 | $24.66 – $233.00 | 45 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $1,225.90 | $1,886.00 | $625.62 – $1,886.00 | 111 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $157.30 | $242.00 | $38.25 – $242.00 | 45 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $11,354.40 | $11,354.40 | $51.30 – $1,892.40 | 111 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.